Organization
JOHN K WEAVER, DMD PC
Active
Other names
Weaver Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (CREDENTIALING MANAGER)
(972) 869-3789
Entity
Organization
Contact information
Practice address
35 PROFESSIONAL DR, BRUNSWICK, GA 31520-3773
(912) 264-6890
(912) 264-4374
Mailing address
35 PROFESSIONAL DR, BRUNSWICK, GA 31520-3773
(912) 264-6890
(912) 264-4374
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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